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See a sample rate comparisonCPT 44960 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Appendectomy; For Rupture Appendix W/ Absces Or Generaliz Perito, Appendectomy; For Ruptured Appendix With Abscess Or Generalized Perito
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Digestive System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 44960 |
| Medicaid Fee Schedule | View Medicaid rates for 44960 |
National average reimbursement for CPT 44960 by major payers:
$1,092.11
$1,157.83
$1,212.05
$1,389.09
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CPT 44960
5 of 25 sample ratesHigher to lower in this preview
East Mequon Surgery Center LLC
$16,050.00Published rateAurora Endoscopy Surgicenter, LLC
Aurora Endoscopy Surgicenter LLC
$2,785.00Published rateRefocus Surgery Centers, LLC
$1,150.00Published rateGrossmont Outpatient Surgical Center
Grossmont Outpatient Surgical Ce
$649.00Published rateNisenfeld & Chilton, Md PA, Orthopaedic Associates Of Frederick, Asc
Nisenfeld & Chilton, M.D., P.A.
$50.00Published rate
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See a sample payer proposalCPT 44960 vs. Other Surgical Procedures on the Digestive System Codes
The CPT 44960 code is part of the Surgery services used for Surgical Procedures on the Digestive System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 44960 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 44950-CPT | Moderate | Appendectomy |
| 44960-CPT | High | Appendectomy; For Rupture Appendix W/ Absces Or Generaliz Perito, Appendectomy; For Ruptured Appendix With Abscess Or Generalized Perito |
| 44970-CPT | Moderate | Laparoscopy; Appendectomy |
| 44979-CPT | High | Unlisted Laparoscopy Procedure, Appendix |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 44960. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 44960 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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